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ROAR Safety Training Registration Form

AIMS on the Road Safety and Training Course                                                                                            

  • Lunch is not included but there are local area eating establishments.

Address of seminar site:               Queensborough Community College

                                                      222-05 56th Avenue

                                                      Bayside, NY 11364

 

AIMS on the Road Registration

 

Company Name:

 

Date:

Contact Person:

Phone Number:

E-Mail:

Address:

 

Participants Name

Title

Contact info.

Phone and e-mail

Class
125.00 (ROAR) 175.00  (Non ROAR)

TEST (optional) 100.00

CD
(optional) 175.00

 

Total

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Totals

 

 

 

 

 

 

 

Number of Attendees:                   _______      COST: 125.00 Per student (ROAR Member)  $175 per attendee for the NON-ROAR rate

Total Cost:                                       _______ checks should be made payable to AIMS and must be received on class day.

Credit card number: ________________________expiration: _________________Name on Card: ______________

Return to:  cindeeops@aol.com

For more information please contact Cindee Patrick at 615-545-8109 or cindeeops@aol.com

Training link for more info
 

1.                  Outline of Proposed Curriculum

2.                  Instructor Biographies

3.                  Cost and Registration Form

4.         Hotels and Directions